The Fourth of July is nearly here, and for most of us that includes a fun celebration which family, food, and fireworks. Unfortunately, for people living with dementia, the holiday can be stressful on many levels.

Let’s start with family. As the disease progresses, it can be disorienting and stressful to have a lot of people in the individual’s space, even people they love. Big celebrations upset the normal routine, and routine is key to keeping the person with a progressive brain disease calm. It can be upsetting to family members that their older adult is no longer engaging in conversation with them, may not recognize them and, in fact, want to isolate themselves.

Preparing family ahead of time for what to expect is important. Limiting the number of people, timing the visit (like after a nap), and making sure there is a quiet, safe space if the loved one becomes overwhelmed are key strategies. Maybe someone who insists on correcting a story or timeline is someone to leave off the guest list this year.

As the disease progresses, food that was once loved may become unpalatable, or even a choking hazard. Again, preparing guests for this change in eating habits can prevent people feeling hurt by their older adult not eating a special dish they prepared for the event. Having food that you know the person with dementia will eat, even if it is not the traditional holiday meal, is another good idea. It’s alright if someone with dementia has a calm and quiet meal away from the crowd, or with a few select people who understand how to interact with them. It doesn’t have to be the family caregiver. In fact, it would be better if someone else spent mealtime with them. It can allow the family caregiver to take some time and enjoy the event even more.

Fireworks, like other loud noises, can be a source of confusion and distress. Bringing a person with dementia to a fireworks display with loud noises, bright flashes, and big crowds can trigger fear and anxiety, even wandering. It is especially problematic for our veterans. The sounds can be misinterpreted as bombs or gunshots.

You may consider watching firework displays on television, with the sound off. If your family normally celebrates with fireworks, switch it up with glow sticks, quiet patriotic music, and other enjoyable activities.

You can prepare for events like this by explaining to the person living with a memory impairment, in simple terms, that the loud noises heard outside are fireworks to help reassure them that they are safe. If they are agitated, do not argue or try to reason with them. Instead, try to distract them with an activity they enjoy. You can help prepare for agitation by creating a quiet, comfortable area (which could include white noise) in order to help them feel safe. In addition, if an activity does not work, have comfort items on hand, like a doll, sensory blanket, or fidget toys. These simple precautions can create a more positive holiday experience for everyone.

For more information on how Springpoint at Home can help, please call: 609-301-2101 or 844-724-1777.